DOI: https://doi.org/10.36347/sasjs.2025.v11i01.022

Pages: 110-116

The treatment of cataract-related blindness is surgical, allowing for vision restoration. The objective of this study was to evaluate the functional outcomes of adult cataract surgery at a secondary ophthalmology center. This was a prospective and descriptive study of adults undergoing cataract surgery through extracapsular extraction over a 6-month period. Results were analyzed using the Monitoring Cataract Surgical Outcome (MCSO) software and compared to WHO standards. Out of 163 eyes from 141 patients, 160 eyes (98.2%) received posterior chamber implants, with a mean age of 65.1 years. Visual acuity was ≥3/10 with correction in 54% of cases, while 8.6% had poor visual acuity (<1/10). The proportion of patients with good outcomes increased to 76.6% with better correction, while 6.3% had poor outcomes. Posterior capsule rupture was the most common intraoperative complication (62.5%). These results are below WHO standards and highlight causes of poor outcomes, primarily refractive errors (36.4%) and sequelae (27.2%). Identifying these causes emphasizes the need to improve surgical skills, equipment, and postoperative refraction.